Director of Quality Ops: Healthcare Data & Credentialing

OpenKrill; United States; Vor Ort; USD 180.000 - 230.000; Vollzeit

Benefits dieser Stelle

Health insurance

Zusammenfassung

CertifyOS is seeking a Director of Quality Operations to own the quality of provider data, workflow, and outcomes. You will lead a central quality team that audits credentialing processes and use data to drive systemic improvements.

You will also own NCQA compliance and delegation oversight, serving as the senior quality voice to clients and leading through throughputs and turnaround times in a high-volume environment.

Qualifikationen

• 10+ years in healthcare operations, quality, or compliance.
• 5+ years leading teams with throughput targets.
• NCQA credentialing experience and knowledge.
• Executive presence with client stakeholders.
• Strong data, analytics and dashboards experience.

Aufgaben

• Lead central quality team auditing credentialing files and processes.
• Define quality metrics, baselines, and targets; report to leadership and clients.
• Improve audit processes for coverage and cost per audit.
• Turn audit findings into product and automation changes.
• Own NCQA certification posture end to end and delegation oversight.

Kenntnisse

Quality leadership

Data-driven

Healthcare operations

Executive communication

Jobbeschreibung

CertifyOS is seeking a Director of Quality Operations to own the quality of provider data, workflow, and outcomes. You will lead a central quality team that audits credentialing processes and use data to drive systemic improvements.

You will also own NCQA compliance and delegation oversight, serving as the senior quality voice to clients and leading through throughputs and turnaround times in a high-volume environment.